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F . 4 Argon Laboratories Sample Receipt Checklist <br /> � p <br /> Client Name I Ci Date&Time Received ` 1 a0!O a <br /> Protect Name NS Client Project Number IEZE�! J�7 , itg8 f1 0 O O <br /> Received By '�!S.I.4.0 Matrix — rat Soil 1 <br /> Sample Carrier Client 1 ainto 1 FedEx ! UPS 1 <br /> Argon Labs Protect Number 0-109 oZ 1 <br /> Shipping Container 1 Cooler in good conc€tion? Samples received to proper containers? Yes_.. No <br /> WA Yes ✓ No Samples received intact? Yes_,e No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes ✓ No Yes ✓ No <br /> Cham of Custody Present? Yes ✓ No Samples received wthm holding time? Yes-,Z No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes t/ No NIA Yes ✓ No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ✓ No (None submitted____)Yes No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS'SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />